Job Application Form Page 2

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Employment History
(This should include paid and unpaid employment, work
.
experience and placements etc) Please list most recent post first
Employer
Role
Salary (if
Date Employed
Reason for
applicable)
leaving
From
To
MM/YYYY
MM/YYYY
Qualifications
(please be prepared to bring certificates to interview)
Qualification gained
Grade
Date Achieved
Establishment:
or pending. Please
(MM/YYYY)
School/
state subject
College/University
Criminal Convictions and Cautions
Have you ever received a caution, including conditional cautions, been convicted by a court of
any offence, been reprimanded or given a final warning? You do not include minor driving
offences
Yes / No* Delete as appropriate*
Please provide details of convictions and cautions in a sealed envelope and attach to this form
include date, court and nature of offence
PLEASE NOTE: Appointment to this post will be subject to a Criminal Records Bureau (CRB)
Check and ISA Registration Check if required.
This post is exempt from the Rehabilitation of Offenders Act 1974. Applicants must be
prepared to disclose any convictions they may have and any orders which have been
made against them.
Equal Opportunities Monitoring
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